Training Program

Year One:

Four months of Adult General Psychiatry distributed among rotations at two or more of the following sites:

A state inpatient unit (Springfield Hospital Center).

Selective rotations at the Baltimore Veterans Affairs Medical Center (BVAMC), Maryland Psychiatric Research Center (MPRC), or Programs in Assertive Community Treatment Team (PACT) at University of Maryland Medical Center (UMMC).

Inpatient rotation at Sheppard Pratt Hospital (SEPH).

Short-call is on average every sixth night at SEPH.

Inpatient, outpatient, substance abuse and rehabilitation services in these facilities are closely coordinated so residents experience the full range of patient care. Residents carry no more than six inpatients at a time and receive regular attending supervision from the unit attending as well as an outside supervisor.

One month of Addiction Psychiatry at UMMC, BVAMC or SEPH. Case conferences and didactic sessions weekly with faculty with addictions expertise supplement the experience. Short-call is on average every sixth night at SEPH.

One to two months of Emergency Psychiatry as part of the Psychiatric Emergency Service at UMMC. First-year residents work shifts (usually 3 weeks of days and 1 week of nights), and there is no call.

Three months of Internal Medicine at Mercy Medical Center, a private hospital ten minutes from campus. Mercy is closely affiliated with UMMC's Internal Medicine Department, and our residents rotate along with prelim Mercy interns and upper level residents from UMMC. Short-call is on average every fifth night, with an average of one night shift per month.

One month of adult or pediatric Emergency Room medicine at UMMC. Residents work in shifts, and there is no call.

One month on the General Inpatient Neurology Service at UMMC and one month on the Stroke Service at UMMC with clinic during both months at the BVAMC 1-2 times per week. There is no call during these months, but interns do work every other weekend.

Selective in adult inpatient or community psychiatry (BVAMC, UMMC, MPRC or PACT)

Addiction Psychiatry (BVAMC, UMMC, or SEPH)

Emergency Psychiatry UMMC

Short-call every 6th night at SEPH

Thursday Didactic Series

During the psychiatry rotations, didactics occur on Thursday when residents are on campus attending classes and Grand Rounds. This is followed by a resident meeting with lunch for all residents weekly. There is a monthly training directors/resident lunch which gives residents and training directors an opportunity to interact in an informal setting.

During the intern year, you are allotted 15 vacation days, which are distributed according to rotation.

Year Two:

A total of eight months of advanced training in acute inpatient psychiatry. Each resident rotates for two to three months on a General Adult Unit at the Institute of Psychiatry and Human Behavior (IPHB) at the University of Maryland Medical Center and for one to two months on the Geriatric Psychiatry Unit at IPHB. Additionally, each resident completes between two and four weeks of night float while at IPHB (Sunday through Thursday, 8pm to 8am). Each resident also rotates for three months at SEPH, a rotation consisting of six weeks on the Psychotic Disorders Unit and six weeks of a selective rotation (including the option of Child & Adolescent Psychiatry). Residents carry no more than eight patients at one time. New PGY-2 residents may also rotate through the Springfield Hospital Center. Call averages every fifth night.

PGY2

3 months

1.5 month

1.5 month

3 month

1 month

1 month

1 month

Consultation Liaison Psychiatry UMMC and BVAMC

Advanced Inpatient Psychiatry SEPH

Inpatient Psychiatry Selective SEPH

Advanced Inpatient Psychiatry UMMC

Inpatient Geriatric Psychiatry UMMC

Night Float UMMC

Emergency Psychiatry UMMC

4 hours per week outpatient psychiatry elective (optional)

Thursday Didactic Series

Three months of consultation/liaison psychiatry at the BVAMC and UMMC, including the Shock Trauma Center. There is no night call.

One month of emergency psychiatry as part of the Psychiatric Emergency Service at UMMC. Second-year residents work shifts (three weeks of nights and one week of days), and there is no call.

Optional four hours per week of outpatient long-term psychotherapy.

Residents who begin the program in Year Two will have their curriculum adjusted to meet requirements for Board eligibility.

Didactic lectures during this year include:

Psychopathology

Neuropsychiatry

Geriatric psychiatry

Substance abuse

Child development

Mental retardation

Emergency psychiatry

Psychopharmacology

Community psychiatry

Eating disorders

CL Psychiatry

Basic psychodynamics

Cognitive therapy

Dialectical behavior therapy

Family psychoeducation

Group therapy

Ethics

Cultural psychiatry

Personality disorders

Psychological testing

Research in schizophrenia

A dynamic continuous case conference is also included in the didactics. There is a multidisciplinary case conference in which residents present to the training director or chairman.

Year Three:

Twelve months of adult and child ambulatory psychiatry at several training sites (all downtown campus centers plus the Sheppard and Enoch Pratt Hospital and two community mental health centers) allow for a wide variety of approaches to patient care. Each offers a core experience of long-term psychotherapy (a minimum of six hours per week total of therapy sessions and supervision with two therapy supervisors); short-term psychotherapy, as well as the possibility of participating in group, family, and long-term child psychotherapy (each with supervision). We focus on the five psychotherapies in which competence is required by the Residency Review Committee of the ACGME: psychodynamic, cognitive-behavioral, supportive, brief and combined psychotherapy/psychopharmacology. Adult and child diagnostics, psychopharmacology clinics (all with supervision) and clinical case conferences are also provided.

Call consists primarily of on site (at IPHB or SEPH) senior supervision of PGY-1 and PGY-2 residents, approximately two to three times per month.

Didactic lectures during this year include:

Child psychiatry

Pharmacotherapy

Family therapy

Cultural psychiatry

Substance abuse

Forensic psychiatry

Community psychiatry and the severely mentally ill

Observed dynamic and cognitive behavioral psychotherapy

Theory and practice of dynamic psychotherapy

Brief psychotherapy

Group therapy

Psychodynamic case conference

Ethics

All residents must demonstrate competency in evaluating the scientific literature for evidence-based practice. Residents participate in a research project, write or cowrite an article and have the option of presenting a poster at the Annual Research Day. Resident’s scientific work is often submitted for publication and frequently presented at national meetings. Supervision is provided by an experienced faculty member.

Year Four:

Twelve months of electives, including the various services of Sheppard and Enoch Pratt hospital, University of Maryland Medical System, the State system and State-supported community sites, the VA Medical Center, the Chief Resident positions, the faculty private practice, the Assertive Community Treatment Team, eating disorders, child psychiatry, the forensic system, and a student health service. Elective choices in research include neuroscience, schizophrenia, pharmacology, and services delivery.